Before Your Procedure:
1) You may be given prescriptions for antibiotics, antibiotic ointment, anti-nausea suppositories, and/or pain medication – please fill these prior to surgery. We recommend you also purchase hydrogen peroxide and Q-tips.
2) Shampoo your scalp for 10 minutes on the evening prior to your surgery with an antibacterial shampoo such as Phisoderm.
3) Cleanse your face for 5 minutes twice daily with an antibacterial cleanser (such as Dial soap) for at least three days prior to your surgery.
4) Do not eat or drink anything after midnight on the night before your surgery.
5) Arrange for a driver to transport you to the office for your first few days’ post-operative visits, as your medication may slow your reflexes, and the facial dress and swelling may restrict your vision.
6) You must have a responsible friend or relative, 21 years or older, drive you home following surgery and plan to remain with you for the first 24 hours (you will not be allowed to ride home in a taxi cab following surgery.)
7) If indicated, please see your personal physician pre-operatively for medical clearance for surgery, and have the report (faxed) sent to our office.
8) Any prescription drugs administered under the care of your personal physician, and reported on the history form you completed at the time of consultation, may be taken unless you are instructed otherwise.
9) If you are a smoker, please abstain for at least one month prior to surgery. This will enhance healing, and therefore your final look.
Follow Up Appointment Schedule:
You will be seen at the office on the day after surgery to have your facial dressing removed, examined, and facial dressing reapplied.
On the third day after surgery, your facial dressing will be removed and a chinstrap applied. If relevant, the dressing may be removed from donor fat sites as well.
On the fifth-seventh day, you will have sutures removed.
Two weeks after surgery is a full evaluation of the procedure and your healing progress. Any additional visits will be recommended on a case-by-case basis.
What to Expect After Surgery:
1) You will have a large, bulky dressing on your head, which will restrict your hearing and peripheral vision. This may be somewhat uncomfortable, but please do not loosen or remove it. This will be taken care of in an early follow-up visit to our office.
2) It is common to have a variable degree or swelling and bruising for the next few days. To keep it to a minimum, continue elevation of the head. Sleep in a semi-sitting position. You can do this by sleeping in a recliner or by propping yourself up on two or three pillows. Continue sleeping in this position for two weeks (14 days) following surgery. Stay away from salty foods, especially before retiring.
3) If you develop severe swelling on one side of the face versus the other, exaggerated pain on one side, or bleeding through the bandage, immediately elevate the head, apply pressure to the area, and then notify the office at 706-235-5570.
4) For the first few days, when getting up from bed, rise slowly and take short breaths between each movement. Have an able adult to assist you to and from your destination.
5) A low-grade fever is not abnormal. Take two Tylenol tablets for any elevated temperature under 101 degrees. Call the office if you have a persistent fever over 101 degrees.
Avoid excessive facial and neck movements for one week, and bending, leaning, and straining for two weeks. Move your head and shoulders as one unit. Tightness is to be expected, but if you feel an increase in tightness as you move, you may be moving your head or neck too much. Excessive movements can raise your blood pressure and cause bleeding and bruising.
To help prevent further sun damage, apply a facial sunscreen to your face daily. Use a sunscreen that provides the broadest coverage with SPF15. Avoiding the midday sun and wearing a broad-brimmed hat are also important in preventing skin changes.
Learn more about facial fat grafting procedures here.